Individual
MR. ANDREW MICHAEL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1201 WASHINGTON ST E, CHARLESTON, WV 25301-1834
(304) 300-1800
(304) 388-8125
Mailing address
130 MOOREFIELD PL, SCOTT DEPOT, WV 25560-9562
(304) 760-2182
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
58071
WV
Other
Enumeration date
10/13/2008
Last updated
02/19/2019
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